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    pageEncoding="ISO-8859-1"%>
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1">
<title>Insert title here</title>
</head>
<body>
<form>
		<div style="width: 300px; margin: 0 auto; padding: 5px">
		  <h5>Raffles Medical Centre Registration</h5>
	    	<table style="margin :0 auto;">
	    		<tr>
		    		<td>Full Name: </td> <td><input type="text" id="name" /></td>
	    		</tr>
			   	<tr>
			    	<td>IC Number: </td><td><input type="text" id="ic" /></td>
			    </tr>
			    <tr>
			    	<td>Address: </td><td><input type="text" id="address" /></td>
			    </tr>
			    <tr>
			    	<td>Gender: </td>
			    	<td><input type="radio" name="sex" value="male">Male &nbsp; &nbsp;<input type="radio" name="sex" value="female">Female</td>
			    </tr>
			    <tr>
			    	<td>Username: </td><td><input type="text" id="username" /></td>
			    </tr>
			    <tr>
			    	<td>Password: </td><td><input type="password" id="password" /></td>
			    </tr>
			    <tr>
			    	<td>Reenter password: </td><td><input type="password" id="reenterpassword" /></td>
			    </tr>
			    <tr>
			    	<td>Email Address: </td><td><input type="text" id="emailadd" /></td>
			    </tr>
	    		<tr>
	    			<td></td>
	    			<td><input type="button" value="Register" id="Register" onclick=window.open('#','',width=500,height=500) style="background-color: #E6E6E6; border: 1px solid #A4A4A4; padding: 5px 10px; -moz-border-radius: 5px; border-radius: 5px">
	    			<input type="button" value="Cancel" id="Cancel" style="background-color: #E6E6E6; border: 1px solid #A4A4A4; padding: 5px 10px; -moz-border-radius: 5px; border-radius: 5px">
	    			</td>
	    		</tr>
	    </table>
	</div>
</form>
</body>
</html>